Publications

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the impact of hiv infection in a rural hospital in haiti.to assess the impact of the human immunodeficiency virus type 1 (hiv) infection on the patients treated at the medicine department of the hôpital albert schweitzer (has) in haiti and the economic costs to this institution that their medical care caused, a group of hiv infected patients was followed and compared to a control group of non-infected patients. infected patients had a significantly higher number of diagnoses suggestive of hiv infection and of sexually transmitted diseases (stds) and a ...19948107169
clients of female sex workers in gonaives and st-marc, haiti characteristics, sexually transmitted infection prevalence and risk factors.few data exist on the role of clients of female sex workers (fsws) in sti transmission. this study examined sociodemographic characteristics, risk behaviors, and sti prevalence among clients of fsws in haiti.200818580821
the effects of hiv on cognitive and motor development in children born to hiv-seropositive women with no reported drug use: birth to 24 months.this study documents delays in the mental and motor functioning of infants perinatally infected with human immunodeficiency virus (hiv) while controlling for confounding effects of prenatal drug exposure, ethnicity, socioeconomic status, and maternal separation and death.19957491224
opportunistic infections and kaposi's sarcoma among haitians: evidence of a new acquired immunodeficiency state.twenty haitian patients, hospitalized from 1 april 1980 to 20 june 1982, had pneumocystis carinii pneumonia, central nervous system toxoplasmosis, esophageal candidiasis, cryptococcosis, disseminated cytomegalovirus, progressive herpes simplex virus, chronic enteric coccidiosis, or invasive kaposi's sarcoma. ten patients died. opportunistic infections were frequently multiple and were recurrent in three patients. in seven patients disseminated tuberculosis preceded the other infections by 2 to 1 ...19836299151
disseminated tuberculosis in the acquired immunodeficiency syndrome era.to assess the influence of human immunodeficiency virus type 1 (hiv)-induced immunodeficiency on the clinical, radiographic, and pathologic features of disseminated tuberculosis (tb), we studied 79 patients presenting in 1984 through 1987 with miliary or focal disseminated disease due to mycobacterium tuberculosis, as well as 4 additional non-hiv patients diagnosed after 1987. clinically defined acquired immunodeficiency syndrome (aids) or aids-related complex (arc) was present in 51 (group 1). ...19911952449
pulmonary tuberculosis, human immunodeficiency virus type-1 and malnutrition.in rural haiti we measured and compared the muscle protein and calorie reserves (anthropometrics) as well as the visceral protein reserves (serum albumin, tuberculin sensitivity) in 56 hiv (human immunodeficiency virus type-1) seropositive and 108 hiv seronegative pulmonary tuberculosis patients. results in patients were also compared to the results of the same measurements made in 160 age, sex and residence matched hiv seronegative controls without tuberculosis. tuberculosis patients, regardles ...19911907208
tuberculosis, poverty, and "compliance": lessons from rural haiti.tuberculosis (tb) is the leading cause of death among rural haitian adults, and tb control in haiti is widely acknowledged to be a failure. the causes of both the endemicity of tb and the failure of attempts to address it are briefly reviewed before data from a study conducted in rural, central haiti are presented. members of one group of patients with active tb were given free medical care; members of a second group were given free care as well as financial aid, incentives to attend a monthly c ...19911810004
a hospital-based prospective study of perinatal infection with human immunodeficiency virus type 1.most infants with pediatric acquired immunodeficiency syndrome and infections with human immunodeficiency virus type 1 (hiv-1) are infected perinatally by their mothers. to determine the proportion of exposed infants who are infected, we conducted a hospital-based prospective study in hiv-1-infected women whose infants were delivered at a single metropolitan hospital in miami, fla. a population of uninfected women and their infants was also enrolled and followed longitudinally for 2 years to ass ...19911671878
sexual behavior, smoking, and hiv-1 infection in haitian women.to determine whether a previously observed association between human immunodeficiency virus type 1 (hiv-1) infection and smoking in haitian women could be explained by confounding high-risk behaviors.19921485894
early versus standard antiretroviral therapy for hiv-infected adults in haiti.for adults with human immunodeficiency virus (hiv) infection who have cd4+ t-cell counts that are greater than 200 and less than 350 per cubic millimeter and who live in areas with limited resources, the optimal time to initiate antiretroviral therapy remains uncertain.201020647201
cyp2b6 variants and plasma efavirenz concentrations during antiretroviral therapy in port-au-prince, haiti.polymorphisms in cyp2b6 are known to predict increased steady-state plasma concentrations of efavirenz. we characterized relationships between genetic polymorphisms and plasma efavirenz concentrations among 45 haitians who initiated antiretroviral therapy in port-au-prince.200919659438
improving ngo collaboration in aids prevention in rural haiti.zanmi lasante (health friends), a nongovernmental organization (ngo) based in rural haiti, provides an example of the effective role ngos can play in acquired immunodeficiency syndrome (aids) prevention. the group has produced a video, "chache lavi, detwi lavi," based on the true story of a rural woman who became infected when she migrated to port-au-prince to seek employment. the video illustrates the association between human immunodeficiency virus (hiv) and broader social issues such as pea ...199412345904
community-based treatment of advanced hiv disease: introducing dot-haart (directly observed therapy with highly active antiretroviral therapy).in 2000, acquired immunodeficiency syndrome (aids) overtook tuberculosis (tb) as the world's leading infectious cause of adult deaths. in affluent countries, however, aids mortality has dropped sharply, largely because of the use of highly active antiretroviral therapy (haart). antiretroviral agents are not yet considered essential medications by international public health experts and are not widely used in the poor countries where human immunodeficiency virus (hiv) takes its greatest toll. arg ...200111799447
drinking perceptions and drinking behaviors among urban black adolescents.to improve understanding of black (african american and haitian blacks) adolescents' drinking behaviors and sexual patterns that put them at risk for human immunodeficiency virus/acquired immunodeficiency syndrome (hiv/aids) to determine whether specific cultural differences affect beliefs and behaviors about alcohol use.199910505844
the natural history of human immunodeficiency virus 1 infection in haitian infants.the current study followed hiv-infected women through pregnancy and their infants through the first 2 years of life to determine the rate of vertical transmission of hiv infection from haitian women, factors in maternal health and obstetrical history that might influence such transmission and the natural history of hiv infection in their affected offspring.19999951982
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